Doctor Name: | GAYLA HARRIS |
NPI Number: | 1912932070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | MT013300 |
Business Practice Address: | 2612 S Lamar Blvd Suite A Austin, TX - 787044733 |
Business Phone Number: | 5128041100 |
Business Fax Number: | 5128041102 |
Mailing Address: | 2162 South Lamar Blvd, Ste A AUSTIN |
State: | TX |
Postal Code: | 787044733 |
Phone Number: | 5128041100 |
Fax Number: | 5128041102 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 06/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT013300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |